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SB-1361 Medi-Cal: eyeglasses.(2015-2016)

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SB1361:v98#DOCUMENT

Amended  IN  Senate  April 19, 2016

CALIFORNIA LEGISLATURE— 2015–2016 REGULAR SESSION

Senate Bill
No. 1361


Introduced by Senator Nielsen

February 19, 2016


An act to add Section 14132.07 to the Welfare and Institutions Code, relating to Medi-Cal.


LEGISLATIVE COUNSEL'S DIGEST


SB 1361, as amended, Nielsen. Medi-Cal: eyeglasses.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income persons receive health care benefits. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program program provisions. Existing law provides for a schedule of benefits under the Medi-Cal program, which includes eyeglasses, subject to utilization controls. Existing law provides, except as specified, that certain optional Medi-Cal benefits, including, among others, optometric and optician services, are excluded from coverage under the Medi-Cal program.
This bill, to the extent any necessary federal approvals are obtained, would restore coverage of one pair of eyeglasses provided every 2 years to an individual 21 years of age or older who is unable to meet or exceed the driver’s license vision standards established by the Department of Motor Vehicles. whose uncorrected visual acuity is equal to or poorer than 20/40. The bill would authorize the department to implement those provisions by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.

 Section 14132.07 is added to the Welfare and Institutions Code, to read:

14132.07.
 (a) Notwithstanding Section 14131.10, one pair of eyeglasses provided every two years shall be covered for an individual who is 21 years of age or older and who is unable to meet or exceed the driver’s license vision standards established by the Department of Motor Vehicles. whose uncorrected visual acuity is equal to or poorer than 20/40.
(b) (1)   The department may seek approval of any necessary state plan amendments to implement this section.
(2) This section shall be implemented only to the extent that federal financial participation is available and any necessary federal approvals have been obtained.
(c) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement this section by means of all-county letters, provider bulletins, or similar instructions, without taking further regulatory action.